Anyone who suffers from a stuffy nose knows this can be boring or uncomfortable. These problems can often be caused by diseases like sinusitis, rhinitis and allergies, but it can also happen due to the deviated septum. It occurs when the septum (cartilage / bone structure that vertically divides the nasal cavities) is not entirely straight, and one part obstructs one or both sides of the nostrils.
The deviated septum can be corrected with surgery, and one of the best known is rhinosseptoplasty. It is the combination of surgery to correct deviation and rhinoplasty (aesthetic correction of the nose). Thus, when the patient wishes or needs to perform both procedures, the technique is used.
But, even though it is a common procedure, many people are unaware of this surgery. Thinking about it, we created this post with 6 things you need to know about rhinosseptoplasty. Check out.
1. When is rhinosseptoplasty indicated?
As explained above, rhinosseptoplasty is the union of surgeries to correct respiratory failures and the shape of the nose. Therefore, it is indicated for those who have deviated septum (or any other problem that hinders breathing), but wants to take advantage of the procedure to improve the aesthetic part.
For cases in which nasal failure or obstruction is not caused by deviated septum, surgery is not indicated. In these situations, non-surgical alternatives must be sought to correct the problem. Some diseases that may have the same symptoms as deviated septum are rhinitis and sinusitis.
Here, it is worth remembering that any and all surgical correction, be it aesthetic or not, must be indicated and accompanied by a doctor. After all, each person has their individualities and, because of that, interventions must be carried out after studying each case.
2. How is the pre-operative of rhinosseptoplasty?
The preoperative period is when the doctor must clarify the doubts of the patients. It is at this time that the measurements and evaluations of the changes that will be made are taken, and, depending on the case, the specialist can request a CT scan of the face to analyze the internal structures.
In the preoperative period , traditional exams are also performed , such as blood, electrocardiogram, consultation with the anesthesiologist. An evaluation with the cardiologist may also be recommended, especially for those who have cases of heart disease in the family.
3. How is the surgery?
This type of surgery can be performed in an open or closed way. In the open, an incision is made and the skin is separated from the nose, this type of procedure is performed in more serious problems, where the doctor needs greater visualization. Usually the scar is imperceptible.
Closed surgery is done with a cut on the inside of the nose – and in this situation, neither the incision nor the stitches are visible. It is indicated when the changes are easier and easier to correct, or when the person has healing problems.
In both cases, septum deviation corrections are performed first, followed by the aesthetic part. The type of anesthesia applied will depend on the type of surgery performed, it can be local or general. It is also important to remember that rhinosseptoplasty can be performed by both an otorhinolaryngologist and a plastic surgeon.
4. What about the postoperative period?
The postoperative of rhinosseptoplasty is accompanied by local pain, commonly treated with analgesics . Another common complaint is the sensation of a stuffy nose, this is because the cartilages are sensitive and swollen, but this tends to improve after the first week. It is recommended that nasal cleanings be done several times a day, to avoid the accumulation of secretions, which tend to become infected.
It is common for patients to also have swelling on the outside of the face, often accompanied by bruises. This swelling can take six months to a year to normalize, but after the first month it is already possible to observe the well-defined nose. Currently, the surgeon places an external dressing on the nose, to ensure stability of the structures and avoid any trauma that could compromise the aesthetic part.
Because of the bruises it is recommended to use sunscreen on the face during the day, even indoors, so there is no risk of the skin becoming blemished. Another guideline is to sleep with your face turned upwards for the first few months, to avoid pain.
5. What type of food is indicated during the post-operative recovery period?
As it is a difficult and tiring period, the postoperative period must be monitored very carefully, especially when it comes to food. Therefore, it is important that the patient correctly follow the instructions of his doctor so that his post-op is as smooth and fast as possible.
At that post-surgery moment, it is known that not only medications contribute to good healing. On the contrary, food is also an ally. Therefore, it is recommended to consume light and fresh foods, so that the necessary nutrients are supplied to the body.
It is important to note that the consumption of protein foods helps in healing, as well as the consumption of vitamin C , which has the function of strengthening the immune system. At a time when the body is fragile and in the process of recovery, this help is essential, isn’t it?
Next, check information about recommended foods for the post-operative period:
Water is an indispensable source for kidney control, especially after rhinosseptoplasty as they are likely to be overloaded with anti-inflammatory drugs. In addition, water hydrates the body and reduces the swelling caused by fluid retention and remains the best substance for the proper functioning of the organs.
As stated above, vitamin C is of great importance for the immune system. Therefore, include orange, lemon, white guava, kiwi and acerola in your menu.
Source of hydration and vitamins, opt for the sugar-free version, as they are light and diuretic. Eat pineapple and melon juices that contain enzymes responsible for assisting the anti-inflammatory process and the absorption of protein from food.
Egg yolk is a source of iron and zinc, it helps in the regeneration of cells and tissue repair.
Dark green leaves
A source of iron and also vitamin B, the dark green leaves contribute to the increase of cells that act in supporting the tissues and their fillings. Include kale, spinach, broccoli and endive in your diet.
Berries have antioxidants that help maintain healthy blood vessels. Lean meat (chicken and fish) contains protein that optimizes healing. Carrots, in turn, are a source of vitamin A, which helps in skin regeneration.
Foods to avoid
Avoid fried foods, sugar and processed foods, as they are rich in saturated fats, they do not have nutrients that the body needs in this delicate moment and they still overload the intestine. Also, do not consume alcoholic beverages, red meat, caffeine, fermentative legumes such as beans, chickpeas, lentils. In the vegetable wing, don’t eat the cabbage.
6. What are the risks of rhinosseptoplasty?
The main risk is related to the application of anesthesia. This is because allergic reactions to the medications used and cardiac arrest may occur during the procedure. But don’t worry: to prevent this from happening, preoperative exams are requested .
Other problems that may occur are bleeding during the first days and also dissatisfaction with the aesthetic / functional part of the surgery. Rarely, it can also happen that, after surgery, the aesthetic problem persists or worsens when the procedure is not well performed. Therefore, seek reliable doctors.
7. What should be taken into consideration?
Before deciding to perform the surgery, a few things must be taken into account. The main one has to do with the choice of doctor and clinic .
This type of procedure, like any other, poses health risks. Therefore, before choosing the doctor, look for indications of acquaintances, check if he is qualified by the Brazilian Society of Plastic Surgery and if the hospital where the procedure will be performed is equipped with an ICU. In addition, ask friends, family, and, in case of insecurity, make appointments with more than one doctor.
Rhinosseptoplasty has an average price of R $ 14,000, but it will depend on the hospital, the doctor and the type of surgery performed. Attention should be paid to all the necessary care in the pre and post operative, the success of the procedure depends largely on the dedication on the part of the patient.
When you notice breathing difficulties or a stuffy nose, the ideal is to see an otolaryngologist so that tests can be performed and find out the cause. When the deviated septum is identified and the recommended surgery, the patient will be able to decide between surgery to remove the obstruction only or in conjunction with the aesthetic part (rhinoplasty).
8. What to consider aesthetically before having surgery?
Despite being a smooth surgery , it is important that you consider some factors of your body. An example of this is respect for your ethnicity. Talk to your doctor so that you can reach an agreement where your unique characteristics are not lost after the procedure. Also, don’t forget to analyze how the scar will look on your face, so that you don’t need a new surgery or dissatisfaction with the result.
Finally, it is very important that you analyze all the information above so that satisfaction with the result is guaranteed. Seeking to learn more about the subject from a trusted source of health information, such as the PartMed blog, helps you get to the most secure office about the procedure. In addition, talk a lot with your doctor, he can answer specific questions.